OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

In-Home Food Safety Behaviors and Consumer Education: Annual Observational Study

IC 226809 under ICR 201803-0583-001 · OMB 0583-0169.

Documents and Forms
Document Name
Document Type
Other-screening questionnaires
Other-screening questionnaires Spani
Other-screening questionnaires Year
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

In-Home Food Safety Behaviors and Consumer Education: Annual Observational Study
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-screening questionnaires Appx E_Screening Questionnaires_6_28_17.docx No   Paper Only
Other-screening questionnaires Spanish Appx E_Screening Questionnaires__Span 11_7_17.docx No   Paper Only
Other-screening questionnaires Year 2 Appx E_Screening Questionnaires__Eng and Span_3_9_18.docx No   Paper Only

Health Consumer Health and Safety

 

1,999 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 1,999 0 0 0 0 1,999
Annual IC Time Burden (Hours) 2,942 0 0 0 0 2,942
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Study Design Appx A_study design.docx 05/17/2017
Recruiting Ads Appx B_recruiting ads.docx 05/17/2017
Recruiting Email Appx C_Recruiting Email.docx 05/17/2017
Recruiting Sign Appx D_Recruiting Sign.docx 05/17/2017
Recruiting Call Script Appx F_Recruit Call Script.docx 05/17/2017
Confirmation Email Appx G_Confirmation Email.docx 05/17/2017
Reminder Call Script Appx H_Reminder Call Script.docx 05/17/2017
Consent Form Appx J_Consent Form_5_10_17.docx 05/17/2017
Recipes and Instructions Appx L_Recipes and Instructions.docx 05/17/2017
Recruiting Ads Spanish Appx B_recruiting ads_Span 11_7_17.docx 11/14/2017
Recruiting Email Spanish Appx C_Recruiting Email_Span 11_7_17.docx 11/14/2017
Recruiting Sign Spanish Appx D_Recruiting Sign_Span 11_7_17.docx 11/14/2017
Recruiting Call Script Spanish Appx F_Recruit Call Script_Span 11_7_17.docx 11/14/2017
Confirmation Email Spanish Appx G_Confirmation Email_Span 11_7_17.docx 11/14/2017
Reminder Call Script Spanish Appx H_Reminder Call Script_Span 11_7_17.docx 11/14/2017
Consent Form Spanish Appx J_Consent Form_Span 11_7_17.docx 11/14/2017
Recipes and Instructions Spanish Appx L_Recipes and Instructions_Span 11_7_17.docx 11/14/2017
Study Design Year 2 Appx A_study design_poultry rinsing_3_9_18.docx 03/15/2018
Confirmation Email Year 2 Appx G_Confirmation Email__Eng and Span_3_9_18.docx 03/15/2018
Consent Form Year 2 Appx J_Consent Form__Eng and Span_3_9_18.docx 03/15/2018
Recipes and Instructions Year 2 Appx L_Recipes and Instructions__Eng and Span_3_9_18.docx 03/15/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.